KAPPA KAPPA PSI
Kappa Delta
National Honorary Band Fraternity
Northwest Missouri State University
Request for Conditional Status
I, "Click to enter name here" , request the status of Conditional membership in the Kappa Delta Chapter
of Kappa Kappa Psi for the "Click to enter trimester here" trimester of "Click to enter year here" .
The request is because of "Click to enter text here" . I am in agreement with the Chapter that without
undue hardship, I am unable to continue to meet the requirements for Active membership status.
I will have paid National and Chapter member dues for the current academic year,
My request shall be approved by a basic majority of fifty (50) percent plus one (1) vote of the Active
membership of the Chapter and with the approval of the Chapter Sponsor,
This Conditional status shall be granted for a period of one (1) trimester, and a request for a period of
one (1) year shall only be made in the most extreme circumstances as approved by a basic majority of
fifty (50) percent plus one (1) vote of the Active membership of the Chapter and with the approval of the
Chapter Sponsor,
I may, at the discretion of the Chapter, attend meetings, observe ritual, participate in Chapter fundraising and service projects, and attend Chapter social functions,
I shall not hold office, propose candidates for membership, vote on any matter, act in the capacity of a
big brother, participate in ritual, attend District events and/or meetings, or attend National Convention.
_______________________________________
(Active Member Requesting Conditional Status)
_______________________________________
(Date)
_______________________________________
(Kappa Delta President)
_______________________________________
(Date)
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(Kappa Delta Sponsor)
_______________________________________
(Date)
To be submitted no later than the second week of the trimester.